Third-Party Authorizations

Third-Party Authorizations

The authorizations below are OPTIONAL. Please READ CAREFULLY before you decide to give these authorizations.
Client Information
Client Full Name

First NameMiddle NameLast Name
Client Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Client Email
example@example.com
Matter / Case Name or Number
Is there more than one Client for this matter? (i.e. - husband and wife together making their trust/estate plan, or co-trustees/co-fiduciaries working together, etc.)
Client 2 Full Name

First NameMiddle NameLast Name
OPTION 1 - IF SOMEONE ELSE ("PAYOR") MIGHT PAY CLIENT's ATTORNEY FEES
THIRD-PARTY PAYOR - Client may request someone else (e.g., Client's business entity via company check, child, advisor, etc.) to pay Law Firm for Client's Matter and another party may agree to pay, but before Law Firm can accept payment from such party, Client must sign this authorization confirming the following:
- Client is solely responsible for all fees, regardless of whether there's a Third-Party Payor.
- NO attorney-client relationship is created between Law Firm and Third-Party Payor, any funds received for Client's matter are credited to Client.
- Any refund is issued to Client, even if fees were paid by Third-Party Payor.
- Any outstanding fees will be billed to and is due from Client, not Third-Party Payor.
- This payment authorization terminates at end of the Matter referenced in the Retainer Agreement herewith.
Client confirms by their signature/s below that Client gives authorization for someone else to Pay Client's attorney's fees on Client's behalf
Payor Name/s
Name of the person or entity making the payment
Payor's Relationship to Client
(e.g. - "child" or "friend")
Payor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Payor Email
example@example.com
I/We, have read and understand the above, and by my/our signature/s, below, authorize Law Firm to accept payment for the Matter referenced in the Retainer Agreement herewith, from the above named Payor/s.
OPTION 2 - IF SOMEONE ELSE ("AGENT") CAN RECEIVE CONFIDENTIAL INFORMATION/DISCUSS CLIENT'S MATTER/S WITH LAW FIRM)
THIRD-PARTY AGENT's AUTHORITY - Client may request other party/ies to be an authorized Third-Party Agent to communicate freely and discuss confidential information about Client's matter with Law Firm on Client's behalf, but before Law Firm is authorized to communicate with such Agent/s, Client must sign below confirming that:
- Client may be WAIVING Attorney-Client privilege by authorizing Law Firm's communication with Agent.
- NO attorney-client relationship is created between Law Firm and Agent.
- Agent's instructions to Law Firm will be treated as instructions from Client, without further confirmation from Client.
- Any applicable fees acting on instructions from Agent may be billed to Client's Matter.
Client confirms by their signature/s below that Client gives authorization for their chosen Agent to communicate with Law Firm on Client's behalf:
Does this Third-Party Agent Authorization END at the close of Client's Matter?
Third-Party Agent Name/s
Agent Relationship to Client
Agent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Agent Email
example@example.com
I/We, have read and understand the above, and by my/our signature/s, below, authorize Law Firm to communicate and take instructions for the Matter referenced in the Retainer Agreement herewith, from the above named Agent/s.
Signatures
Client 1 – Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Client 1 – Signature
Client 2 – Signature Date (if joint client)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Client 2 – Signature (if joint client)
Identity Verification
Please upload a clear photo or scan of a valid government-issued photo ID, such as a driver's license, passport, or state ID.
Client 1 Photo ID

Cancelof
Client 2 Photo ID

Cancelof
Law Offices of Ernest J. Kim
Should be Empty:

Third-Party Authorizations

Client Information

OPTION 1 - IF SOMEONE ELSE ("PAYOR") MIGHT PAY CLIENT's ATTORNEY FEES

OPTION 2 - IF SOMEONE ELSE ("AGENT") CAN RECEIVE CONFIDENTIAL INFORMATION/DISCUSS CLIENT'S MATTER/S WITH LAW FIRM)

Signatures

Identity Verification